Individual
JOY E DEJONG LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2315 E HARMONY RD, SUITE 110, FORT COLLINS, CO 80528-8620
(970) 482-4373
(970) 484-5682
Mailing address
2315 E HARMONY RD, SUITE 110, FORT COLLINS, CO 80528-8620
(970) 482-4373
(970) 484-5682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0003795
CO
103TC0700X
Clinical Psychologist
6301013636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97183229
—
CO
Enumeration date
06/17/2009
Last updated
04/13/2017
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